Organization
MCLD CORPORATION
Active
Other names
West Liberty
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER PHILLIP TUETKEN (PHARMACIST OWNER)
(319) 465-4906
Entity
Organization
Contact information
Practice address
105 E 3RD ST, WEST LIBERTY, IA 52776-1401
(319) 465-4906
Mailing address
105 E 3RD ST, WEST LIBERTY, IA 52776-1401
(319) 627-4317
(319) 627-2037
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
10/14/2005
Last updated
08/22/2020
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